The view you are adding whatever credence being trans gives you to the discussion not only is incorrect it is adopted and propagated to back-justify oppression.
Do not do that.
A woman who was assigned female at birth and later lost her uterus to cancer wouldn't stop being referred to as "female, late 40s" when her chart is being filled out by EMTs. The distinction you are attempting to hold up is meaningless to how "sex" gets used socially and epidemiologically.